HomeMy WebLinkAbout0110292-Plumbing VOIDOSHKOSH
ON THE WATER
Job Address 641 JEFFERSON ST
Contractor FORREST PLUMBING LLC
CITY OF OSHKOSH No 110292
PLUMBING PERMIT - APPLICATION AND RECORD V O I D
Owner RAMSEY/SARBARA KAGAK Create Date 08/31/2004
Category 402 - Residential-Exterior (other) Plan
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
IAP SEWER AND WATER FOR RAZE PERMIT
Valuation
Issued By
Size
Sanitary Sewer 4
Storm Sewer
Water Service 1"
Material
Type
Conn. Type
1 Aband
0
0
0
0
0
0
0
0
0
1 Aband
0
0
0
0
$150.00 Plan Approval $0.00 Permit Fees $100.00 []
Parcelld #
0402200000
Permit Voided~ Job cancelled
Date 09/01/2004
In the performance of this work, I agree to perform all work pursuant to rCes governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Address 5210 N LOOP RD
Agent/Owner
LARSEN
WI 54947 - 0000 Telephone Number
920-836-3986
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.